| Entity Name: | ADULT MEDICINE SPECIALISTS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Jun 2006 (19 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L06000058454 |
| FEI/EIN Number | 20-5011990 |
| Address: | 601 UNIVERSITY BLVD, SUITE 202 AND 207, JUPITER, FL 33468 |
| Mail Address: | P.O. BOX 2208, JUPITER, FL 33468 |
| ZIP code: | 33468 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336238484 | 2006-10-12 | 2008-08-04 | 18 CAMBRIA RD E, PALM BEACH GARDENS, FL, 334187027, US | 601 UNIVERSITY BLVD, 207, JUPITER, FL, 33458, US | |||||||||||||||||||
|
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| Phone | +1 561-627-7766 |
| Fax | 5617457876 |
Authorized person
| Name | DR. LUIS S. ULLOA |
| Role | PRESIDENT |
| Phone | 5616277766 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME38283 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MIGUEL | Agent | 296 FLAMINGO POINT NORTH, JUPITER, FL 33458 |
| Name | Role | Address |
|---|---|---|
| ULLOA, LUIS | Manager | P.O. BOX 2208, JUPITER, FL 33468 |
| LOPEZ, IRMA V | Manager | P.O. BOX 2208, JUPITER, FL 33468 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-07 | 601 UNIVERSITY BLVD, SUITE 202 AND 207, JUPITER, FL 33468 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-07 |
| ANNUAL REPORT | 2008-04-14 |
| ANNUAL REPORT | 2007-04-25 |
| Florida Limited Liability | 2006-06-07 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
